1:1 Consultation
IBON PROCEDURE GUIDE · Under-Eye Fat Repositioning
Transconjunctival Lower Blepharoplasty
Transconjunctival Lower Blepharoplasty in Seomyeon, Busan: 1:1 anatomical surgery by board-certified specialist Dr. Ju-Chan Kim.
Transconjunctival Lower Blepharoplasty Overview
Medically reviewed and performed by Dr. Ju-Chan Kim, Chief Medical Director of IBON Plastic Surgery (Board-Certified Plastic Surgeon).
Transconjunctival lower blepharoplasty at IBON Plastic Surgery addresses prominent under-eye fat bulging in patients who have firm lower eyelid skin elasticity and minimal skin redundancy. Performed personally by Dr. Ju-Chan Kim, Board-Certified Plastic Surgeon, the procedure uses an internal conjunctival micro-incision inside the lower eyelid to selectively contour and decompress herniated orbital fat pads without an external skin incision.
Clinical Specifications & Surgical Summary
| Parameter | Clinical Specification |
|---|---|
| Incision Placement | Internal transconjunctival micro-incision inside the lower eyelid (no external skin incision) |
| Surgical Mechanism | Conservative compartment-by-compartment contouring of medial, central, and lateral orbital fat pads |
| Anesthesia | Local anesthesia with brief monitored sedation |
| Procedure Duration | Approximately 30–60 minutes |
| Suture Removal | None required (self-healing internal conjunctival access) |
| Return to Daily Routine | Approximately 3–5 days |
Ideal Candidacy & Clinical Benefits
- Patients with noticeable under-eye fat bulges who retain firm lower eyelid skin tone that does not require external skin excision.
- Patients who wish to relieve tired under-eye puffiness and dark shadowing without an external skin incision beneath the eyelashes.
- Preserves the intact orbicularis oculi muscle and natural pretarsal roll (aegyo-sal) while minimizing the risk of lower-lid malposition.
- Faster swelling recovery compared with external skin-incision lower blepharoplasty.
Step-by-Step Clinical Process & Recovery Timeline
- Compartment Diagnosis: Dr. Ju-Chan Kim evaluates the medial, central, and lateral orbital fat compartments and checks whether tear trough depression requires simultaneous fat repositioning.
- Internal Conjunctival Access: A fine incision is made on the inner surface of the lower eyelid, avoiding the orbicularis muscle and outer skin completely.
- Conservative Fat Contouring & Hemostasis: Protruding fat is selectively contoured with meticulous bipolar hemostasis so the under-eye surface becomes level without hollowing.
- Rapid Mucosal Healing: The conjunctival mucosa heals naturally without external stitches, allowing patients to return to daily routines within 3–5 days.
Post-Procedure Precautions & Clinical Disclosure
- Apply cold compresses during the first 48–72 hours, keep your head elevated when resting, and avoid bending forward or heavy lifting for 2 weeks.
- Refrain from wearing contact lenses, rubbing the eyes, swimming, consuming alcohol, or smoking for 2–3 weeks post-operation.
- Clinical Disclosure: Depending on individual vascularity and healing, potential post-procedure effects such as bleeding, infection, inflammation, temporary swelling, bruising, conjunctival edema (chemosis), mild eye irritation, or residual asymmetry may occur and are thoroughly discussed during consultation.
Frequently Asked Questions
Q. Will removing under-eye fat leave my lower eyelids looking sunken?
A. Hollowing occurs when orbital fat is over-resected or when a deep tear trough groove is left untreated. Dr. Ju-Chan Kim removes only the excess herniated volume and recommends Lower Eyelid Fat Repositioning whenever tear trough depression is present alongside fat bulging.
Q. Are any stitches removed after Transconjunctival Lower Blepharoplasty?
A. Because the approach is made through the inner conjunctival membrane without an external skin cut, no external suture removal is required.
Frequently Asked Questions (FAQ)
Q. Who performs Transconjunctival Lower Blepharoplasty at the Seomyeon, Busan clinic?
All preoperative consultations, anatomical design, and procedures for Transconjunctival Lower Blepharoplasty in Seomyeon, Busan are performed 1:1 by Chief Medical Director Dr. Ju-Chan Kim, a board-certified reconstructive and aesthetic specialist, with zero shadow doctors.
Q. How is the treatment plan for Transconjunctival Lower Blepharoplasty customized for each patient?
Before treatment, Dr. Ju-Chan Kim conducts a comprehensive 1:1 assessment of skin thickness, muscle function, tissue elasticity, and facial balance to formulate a tailored clinical plan and structured recovery protocol.
Every procedure at IBON Plastic Surgery in Seomyeon, Busan—including eyelid surgery, ptosis correction, dual canthoplasty, under-eye fat repositioning, upper and lower blepharoplasty, and endoscopic forehead lift—is customized following a direct 1:1 anatomical evaluation by Board-Certified Plastic Surgeon Dr. Ju-Chan Kim (M.D., M.S.).
Schedule ConsultationPost-Procedure Precautions & Clinical Disclosure
Individual clinical outcomes and recovery timelines vary depending on personal tissue anatomy and healing response. Potential post-procedure side effects or complications—including temporary swelling, bruising, bleeding, hematoma, infection, inflammation, or subtle asymmetry—may occur. A thorough 1:1 consultation with Board-Certified Plastic Surgeon Dr. Ju-Chan Kim is required prior to any surgical or non-surgical procedure.